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Description
The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.
Description
Utilizing a blend of advanced data mining techniques and natural language processing, CAT can efficiently pull text and specific portions from any healthcare document, identifying key components like medication names, medical procedures, diagnoses, and various disorders. With the information gathered on procedures and diagnoses, CAT is also able to formulate a Diagnosis Related Group (DRG) or an Emergency Medical Service (EMS) level. Additionally, CAT assesses the document against various PQRS measures to ensure compliance. This technology extracts text from medical documents and swiftly transforms it into a format suitable for billing, achieving a remarkable level of accuracy. By streamlining this process, CAT enhances operational efficiencies and generates cost savings for hospitals, medical practices, and other healthcare providers that need coding services. The time spent on billing and coding sees a significant reduction, while the precision of claim submissions is greatly enhanced through this automated approach, which not only speeds up the claim processing time but also improves the overall revenue cycle for healthcare organizations. As a result, healthcare facilities experience a smoother financial operation and can focus more on patient care.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Acrometis
Founded
2002
Country
United States
Website
www.acrometis.com/our-solutions/claimexpert-and-associated-services/
Vendor Details
Company Name
OneVoiceData
Founded
1999
Country
United States
Website
www.onevoicedata.com
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Product Features
Speech Recognition
Audio Capture
Automatic Form Fill
Automatic Transcription
Call Analysis
Concatenated Speech
Continuous Speech
Customizable Macros
Multi-Languages
Specialty Vocabularies
Speech-to-Text Analysis
Variable Frequency
Voice Recognition
